3. When assessing a patient's surgical dressing on the first postoperative day, the
nurse notes new, bright-red drainage about 5 cm in diameter. In response to this
finding, what should the nurse do first?
Recheck in 1 hour for increased drainage.
Notify the surgeon of a potential hemorrhage.
Assess the patient's blood pressure and heart rate.
Remove the dressing and assess the surgical incision.
Give this one a try later!
Assess the patient's blood pressure and heart rate.
The first action by the nurse is to gather additional assessment data to form
a more complete clinical picture. The nurse can then report all of the
findings. Continued reassessment will be done. Agency policy determines
whether the nurse may change the dressing for the first time or simply
reinforce it.
, 7. The patient had abdominal surgery. The estimated blood loss was 400 mL. The
patient received 300 mL of 0.9% saline during surgery. Postoperatively, the patient is
hypotensive. What should the nurse anticipate for this patient?
Blood administration
Restoring circulating volume
An ECG to check circulatory status
Return to surgery to check for internal bleeding
Give this one a try later!
Restoring circulating volume
The nurse should anticipate restoring circulating volume with IV infusion.
Although blood could be used to restore circulating volume, there are no
manifestations in this patient indicating a need for blood administration. An
ECG may be done if there is no response to the fluid administration, or
there is a past history of cardiac disease, or cardiac problems were noted
during surgery. Returning to surgery to check for internal bleeding would
only be done if patient's level of consciousness changes or the abdomen
becomes firm and distended.
11.A patient is having elective cosmetic surgery performed on her face. The surgeon
will keep her at the surgery center for 24 hours after surgery. What is the nurse's
postoperative priority for this patient?
Manage patient pain.
Control the bleeding.
Maintain fluid balance.
Manage oxygenation status.
Give this one a try later!
nurse notes new, bright-red drainage about 5 cm in diameter. In response to this
finding, what should the nurse do first?
Recheck in 1 hour for increased drainage.
Notify the surgeon of a potential hemorrhage.
Assess the patient's blood pressure and heart rate.
Remove the dressing and assess the surgical incision.
Give this one a try later!
Assess the patient's blood pressure and heart rate.
The first action by the nurse is to gather additional assessment data to form
a more complete clinical picture. The nurse can then report all of the
findings. Continued reassessment will be done. Agency policy determines
whether the nurse may change the dressing for the first time or simply
reinforce it.
, 7. The patient had abdominal surgery. The estimated blood loss was 400 mL. The
patient received 300 mL of 0.9% saline during surgery. Postoperatively, the patient is
hypotensive. What should the nurse anticipate for this patient?
Blood administration
Restoring circulating volume
An ECG to check circulatory status
Return to surgery to check for internal bleeding
Give this one a try later!
Restoring circulating volume
The nurse should anticipate restoring circulating volume with IV infusion.
Although blood could be used to restore circulating volume, there are no
manifestations in this patient indicating a need for blood administration. An
ECG may be done if there is no response to the fluid administration, or
there is a past history of cardiac disease, or cardiac problems were noted
during surgery. Returning to surgery to check for internal bleeding would
only be done if patient's level of consciousness changes or the abdomen
becomes firm and distended.
11.A patient is having elective cosmetic surgery performed on her face. The surgeon
will keep her at the surgery center for 24 hours after surgery. What is the nurse's
postoperative priority for this patient?
Manage patient pain.
Control the bleeding.
Maintain fluid balance.
Manage oxygenation status.
Give this one a try later!
